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Department of Community & Economic Development <br />Division of Economic Development <br />1200 County-City Building <br />South Bend, Indiana 46601 <br />(574) 235-5825 (574) 235-9021 Facsimile <br />St. Joseph County Auditor's Office <br />2°d Floor County-City Building <br />South Bend, Indiana 46601 <br />(574) 235-9668 (574) 235-5024 Facsimile <br />Office of the City Clerk <br />4~' Floor County-City Building <br />South Bend, Indiana 46601 <br />(574) 235-9321 (574) 235-9173 Facsimile <br />Required Filing of All Revised Information Statements: Any Information Statements <br />which are revised should be filed with the Office of the City Clerk as soon as practicable by <br />the petitioner/developer, and in no event must be filed upon their use with prospective <br />property owners in the affected tax abatement area. <br />I, Austin J. Hickey ,the petitioner of record seeking single-family <br />residential development real property tax abatement consideration for multiple parcels in the <br />City of South Bend, Indiana, for the abatement commonly referred to as <br />Lot 27 Kensington Farms East, P.U.D.. Section 6, Part 2 hereby acknowledges the <br />requirements set forth herein and agree to abide by such conditions. <br />~• f~ i <br />_------ <br />(Signature) ~ <br />Austin . Hicke <br />Typed Name of Record <br />P. O. Box 2618~South Bend. Indiana 46680 <br />' (5742287-7296 <br />`1, - ~~Ga~~ .. iiY,~!~ Address and Telephone Number of Record <br />Witne's Signature <br />Virginia R Weaver Lang, Feene~& Associates 'Inc. <br />Typed Name and Official Capacity <br />715 S Michigan Street South Bend,.Indiana 46601 (574) 233-1841 <br />Address and Telephone Number <br />Signed this ~~ day of 006. <br />(Form Dated 07-19-OS) <br />t il~d 1~.---- <br />SUN 1 3 2006 <br />~c~o~ ~c~. <br />C~NO, <br />C((Y CI.E'~K, ~d' <br />